S&C QCOR ASC 2567s
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ASCs 2567s
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Time Interval

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Provider Characteristics

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Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific ASC deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 38C0001046 Ngc Endoscopy Services, Llc 1130 Nw 22nd Avenue, Suite 615 Portland OR 10 (Seattle) 10/03/2019 HSNP11 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0162 FORM AND CONTENT OF RECORD Standard
Q0241 SANITARY ENVIRONMENT Standard
▼ 38C0001046 Ngc Endoscopy Services, Llc 1130 Nw 22nd Avenue, Suite 615 Portland OR 10 (Seattle) 10/03/2019 HSNP21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 38C0001048 Doctors Park Surgery Center, Llc 2090 Ne Wyatt Court, Suite 102 Bend OR 10 (Seattle) 08/21/2025 1D398C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0013 Development of EP Policies and Procedures Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
▼ 38C0001048 Doctors Park Surgery Center, Llc 2090 Ne Wyatt Court, Suite 102 Bend OR 10 (Seattle) 08/15/2025 1D398C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 38C0001048 Doctors Park Surgery Center, Llc 2090 Ne Wyatt Court, Suite 102 Bend OR 10 (Seattle) 06/23/2021 2W1F21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0026 Roles Under a Waiver Declared by Secretary Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing and Maintenance Standard
K0353 Sprinkler System - Maintenance and Testing Standard
K0712 Fire Drills Standard
K0908 Gas and Vacuum Piped Systems ? Central Supply System Alarms Standard
K0912 Electrical Systems - Receptacles Standard
▼ 38C0001049 Gso Equipment Corporation 1130 Molalla Avenue Oregon City OR 10 (Seattle) 12/06/2023 6197C-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
▼ 38C0001049 Gso Equipment Corporation 1130 Molalla Avenue Oregon City OR 10 (Seattle) 04/03/2019 04D321 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0712 Fire Drills Standard
▼ 38C0001052 Aesthetic Surgery Center Of Eugene, Inc. 2550 Willakenzie Road, Suite 2 Eugene OR 10 (Seattle) 07/16/2025 660BD-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
K0131 Multiple Occupancies Standard
K0372 Subdivision of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
▼ 38C0001052 Aesthetic Surgery Center Of Eugene, Inc. 2550 Willakenzie Road, Suite 2 Eugene OR 10 (Seattle) 07/09/2025 660BD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
Q0000 Initial Comments - Not a Deficiency Citation Memo
Q0181 ADMINISTRATION OF DRUGS Standard
▼ 38C0001052 Aesthetic Surgery Center Of Eugene, Inc. 2550 Willakenzie Road, Suite 2 Eugene OR 10 (Seattle) 07/08/2021 9NX121 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
K0000 INITIAL COMMENTS Memo
K0100 General Requirements - Other Standard
K0293 Exit Signage Standard
K0300 Protection - Other Standard
K0321 Hazardous Areas - Enclosure Standard
K0751 Draperies, Curtains, and Loosely Hanging Fabrics Standard
K0909 Gas and Vacuum Piped Systems ? Central Supply System Valves Standard